PMID- 11713634 OWN - NLM STAT- MEDLINE DCOM- 20020111 LR - 20191210 IS - 0014-4819 (Print) IS - 0014-4819 (Linking) VI - 141 IP - 2 DP - 2001 Nov TI - Cutaneomotor integration in human hand motor areas: somatotopic effect and interaction of afferents. PG - 232-41 AB - The aim of this study was to elucidate sensorimotor integration in human hand motor areas, its time course, somatotopy and the interaction of sensory fields arising from two different fingers. We studied the influence of different intensities of electrical digital stimulation of two different fingers on motor-evoked potentials elicited in hand muscles by transcranial magnetic stimulation (TMS). Single conditioning electrical stimuli were applied to the right second (D2) and fifth fingers (D5) individually and also to both fingers (D2+D5) simultaneously in six normal volunteers. Magnetic tests, adjusted to produce a response in the abductor digiti minimi muscle of the right hand, were delivered using a circular and a focal coil. The digital stimuli were delivered to the finger at the sensory threshold (ST), at 3 and 5 times the ST, and over the pain threshold at interstimulus intervals (ISIs) ranging from 10 to 100 ms. In order to define the anatomical level of the sensorimotor interactions, the effect of the digital stimulation on TMS was compared to the effect on transcranial electrical stimulation. When the peripheral stimulation was delivered at the ST a small inhibitory effect was found only when stimulating both fingers. At 3 times the ST we detected a topographic distribution of motor-evoked potential inhibition, which partially disappeared at higher intensity (5 times the ST); two types of convergence effects took place at different ISIs. When conditioning stimuli were painful, somatotopy and convergence were lost. Sensorimotor integration shows somatotopy and interaction of afferents at different sites. The intensity of the conditioning stimulus plays an important role in topography and sensory convergence. The importance of these mechanisms in physiology and physiopathology is discussed. FAU - Tamburin, S AU - Tamburin S AD - Department of Neurological Sciences and Vision, Section of Clinical Neurology, University of Verona, Ospedale Policlinico G.B. Rossi, piazzale Scuro, 37134 Verona, Italy. s_tamburin@yahoo.com FAU - Manganotti, P AU - Manganotti P FAU - Zanette, G AU - Zanette G FAU - Fiaschi, A AU - Fiaschi A LA - eng PT - Journal Article PL - Germany TA - Exp Brain Res JT - Experimental brain research JID - 0043312 SB - IM MH - Afferent Pathways/*physiology MH - Conditioning, Psychological/physiology MH - Electric Stimulation MH - Electroencephalography MH - Electromyography MH - Evoked Potentials, Motor/*physiology MH - Feedback/*physiology MH - Female MH - Fingers/*innervation/physiology MH - Functional Laterality/physiology MH - Humans MH - Magnetics MH - Male MH - Mechanoreceptors/*physiology MH - Motor Cortex/*physiology MH - Movement/physiology MH - Muscle Contraction/physiology MH - Muscle, Skeletal/innervation/physiology MH - Neural Conduction/physiology MH - Neural Inhibition/physiology MH - Pain/physiopathology MH - Reaction Time/physiology MH - Skin/innervation MH - Touch/*physiology EDAT- 2001/11/20 10:00 MHDA- 2002/01/12 10:01 CRDT- 2001/11/20 10:00 PHST- 2000/10/20 00:00 [received] PHST- 2001/07/01 00:00 [accepted] PHST- 2001/11/20 10:00 [pubmed] PHST- 2002/01/12 10:01 [medline] PHST- 2001/11/20 10:00 [entrez] AID - 10.1007/s002210100859 [doi] PST - ppublish SO - Exp Brain Res. 2001 Nov;141(2):232-41. doi: 10.1007/s002210100859.